Individual
SUSAN L BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC, PMHNP-BC
Contact information
Practice address
107 W 20TH ST, MOUNT PLEASANT, TX 75455-2323
(903) 575-7856
(903) 572-3407
Mailing address
107 W 20TH ST, MOUNT PLEASANT, TX 75455-2323
(903) 575-7856
(903) 946-5258
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP117248
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP117248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 0439
MEDICARE PTAN
TX
Enumeration date
10/28/2008
Last updated
06/20/2025
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